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29 Cards in this Set
- Front
- Back
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What are the DSM-IV Criteria for Anorexia Nervosa?
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Body wt at least 15% below normal
Intense fear of gaining wt Disturbed Body Image Amenorrhea |
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What are the DSM-IV Criteria for Bulimia Nervosa?
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Recurrent Episodes of binge eating
Recurrent, inappropriate events to compensate for overeating and prevent wt gain The binge eating and compensatory behaviors occur at least 2x/wk for 3 mo Perception of self worth is excessively influenced by body wt and shape |
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What differentiates Anorexia Nervosa from Bulimia Nervosa?
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Low Body Weight and Amenorrhea
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What are the two subtypes of Anorexia and key features?
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Restrictive Type- eat v little and may vigorously exercise (assoc with OCD traits)
Binge/purging Type-eat in binges followed by purging behaviors (assoc with major depression and substance abuse) |
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When do you hospitalize a patient with Anorexia?
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At <20% ideal body weight
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What are the two major subtypes of Bulimia and key characteristics?
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Purging Type-involves vomiting, laxatives or diuretics
Nonpurging Type-involves excessive exercise or fasting |
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What subtype does Binge-Eating Disorder Fall under in the DSM-IV?
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Eating Disorder NOS
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What are the characteristics of Binge Eating Disorder?
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Bingeing occuring at least 2 days/wk for 6 mo. Not associated with compensatory behaviors.
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What therapies are useful for Anorexia?
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Family Based Therapy, CBT.
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What therapies are useful for Bulimia?
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CBT, SSRIs 1st line, TCAs 2nd line
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What are the Cluster A Personality Disorders?
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MAD: Shizoid, Schizotypal, and Paranoid
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What are the Cluster B Personality Disorders?
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BAD: Antisocial, Borderline, Histrionic, and Narcissistic
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What are the Cluster C Personality Disorders?
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SAD: Avoidant, Dependent and OCD
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What is Paranoid Personality Disorder?
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General Distrust of others beginning in early adulthood and persisting in a variety of contexts. These pts are suspicious of others, preoccupied with doubts of loyalty, reluctant to confide, suspicious of fidelity of spouse or lovers.
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What is Schizoid Personality Disorder?
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Voluntary Social withdrawal and restricted range of emotional expression beginning by early adulthood and present in a variety of contexts. Quiet and unsociable with constricted affect.
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What is Schizotypal Personality Disorder?
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A pattern of social defects marked by eccentric behavior, cognitive or perceptual distortions, and discomfort with close relationships. Often have odd beliefs or magical thinking.
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What is Antisocial Personality Disorder?
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Pattern of disregard and violation of the rights of others since age 15. Must be at least 18 years of age. Hx of behavior in adolescence must be c/w conduct disorder.
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What is Borderline Personality Disorder?
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Pervasive pattern of impulsivity and unstable relationships, affects, self-image, and behaviors. Desperate efforts to avoid real or imagined abandonment. Recurrent suicidal attempts or self-mutilation.
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What is Histrionic Personality Disorder?
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Pattern of excessive emotionality and attention seeking behavior. Generally less likely to self harm or attempt suicide than borderlines.
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What is Narcissistic Personality Disorder?
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Pattern of grandiosity, need for admiration and lack of empathy beginning by early adulthood and present in a variety of contexts. They consider themselves special and have fragile self-esteems.
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What is Avoidant Personality Disorder?
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Pervasive patterns of social inhibition with intense fear of rejection. Hypersensitive. V much desires relationships but afraid of rejection.
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What is Dependent Personality Disorder?
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A pattern of submissive and clinging behavior due to excessive need to be taken care of. They have poor self confidence and fear separation. They will go from relationship to relationship and often find themselves in abusive situations due to this.
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What is Obsessive Compulsive Personality Disorder?
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Pervasive pattern of perfectionism, inflexibility and orderliness. Often unable to complete simple tasks in timely fashion due to preoccupation with unimportant details.
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What is the class of and the most common side effect of Olanzipine?
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2nd generation neuroleptic aka 2nd generation antipsychotic. Sedation is the most common side effect. Dose at bedtime. Orthostatic hypotension and wt gain are also common.
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Which antidepressant is most notable for priapism?
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Trazodone
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What are the features of atypical depression?
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Hypersomnia, Hyperphagia with wt gain, and leaden paralysis. Also notable for hypersensitivity to rejection and ability to look forward to some things.
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What is unique about treatment of atypical depression?
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Good response to MAOIs
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What are the notable side effects of Depakote?
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Sedation, weight gain, and alopecia are common. More serious side effects include pancreatitis, hepatotixicity and thrombocytopenia. Neural tube defects during pregnancy.
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What are the notable side effects of Lithium?
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Sedation, wt gain, tremor, GI upset. Also hypothyroidism and nephrogenic DI
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